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Effect of Muscular Energy Technique on Postural Control

Studies

Study First Submitted Date 2020-04-24
Study First Posted Date 2020-08-05
Last Update Posted Date 2023-05-10
Start Month Year January 2024
Primary Completion Month Year July 2024
Verification Month Year May 2023
Verification Date 2023-05-31
Last Update Posted Date 2023-05-10

Detailed Descriptions

Sequence: 20842056
Description Aging is considered a dynamic and progressive process, in which morphological, functional and biochemical changes occur. One of the factors associated with old age is the decrease in the ability to balance posture and the high risk of falls. The literature brings the benefits of physical exercise in improving balance and preventing falls. However, few studies point to the benefits of flexibility techniques and their relationship with balance. The objective of this research is to evaluate the immediate effect of the muscle energy technique (TEM) on postural control responses in the elderly and young adults. The sample will be selected for convenience, with 50 participants of both sexes, young people between 18 and 35 years old and elderly people between 60 and 85 years old. Evaluation of postural control will be performed through the force platform during the unipodal and semi-tandem balance tests (2 repetitions of 30 seconds each, with rest of 30 seconds between them). The main parameters of postural control will be calculated using the pressure center derivative. After the balance tests, the participants will be submitted to TEM and immediately afterwards reassessed on the force platform. An analysis of variance will be used to compare the effects between groups (young versus elderly) and intervention (pre- and post-TEM) and the effects of interaction on the main variables of postural control. A beneficial effect of TEM is expected, especially in the elderly group. The results found in this study will contribute to the use of TEM and the increase of relevant clinical information to benefit the ability to balance in the elderly, in order to reduce the risk of falls.

Facilities

Sequence: 201201130
Name Laboratory of Functional Assessment and Human Motor Performance (LAFUP)
City Londrina
State Parana
Zip 86041-120
Country Brazil

Conditions

Sequence: 52479811
Name Balance Disorders Water
Downcase Name balance disorders water

Id Information

Sequence: 40379522
Id Source org_study_id
Id Value PP07009

Countries

Sequence: 42815217
Name Brazil
Removed False

Design Groups

Sequence: 55935881 Sequence: 55935882
Group Type Experimental Group Type Active Comparator
Title Muscle energy technique (G1) Title Muscle energy technique (G2)
Description Group Elderly (G1) Description Group of young people (G2)

Interventions

Sequence: 52789522 Sequence: 52789523
Intervention Type Other Intervention Type Other
Name Muscular Energy Technique G1 Name Muscular Energy Technique G2
Description Group of older (G1) – The muscular energy technique (TEM) based on Chaitow’s proposal will be applied to the postural posterior muscles of the lower limbs such as gastrocnemius, soleus, ischiostibials, gluteus medius and paravertebral. During TEM, the contraction will be maintained from 7 to 10 seconds, against the resistance imposed by the therapist. After relaxation, range of motion will be gained until your new restriction barrier. This process will be repeated for 3 times. Description Group of young people (G2) – The muscular energy technique (TEM) based on Chaitow’s proposal will be applied to the postural posterior muscles of the lower limbs such as gastrocnemius, soleus, ischiostibials, gluteus medius and paravertebral. During TEM, the contraction will be maintained from 7 to 10 seconds, against the resistance imposed by the therapist. After relaxation, range of motion will be gained until your new restriction barrier. This process will be repeated for 3 times.

Keywords

Sequence: 80287662 Sequence: 80287663 Sequence: 80287664
Name Postural Balance Name Musculoskeletal Manipulations Name physiotherapy
Downcase Name postural balance Downcase Name musculoskeletal manipulations Downcase Name physiotherapy

Design Outcomes

Sequence: 178537061
Outcome Type primary
Measure Balance
Time Frame Baseline
Description Balance measured by a Force platform

Sponsors

Sequence: 48606063
Agency Class OTHER
Lead Or Collaborator lead
Name Universidade Norte do Paraná

Design Group Interventions

Sequence: 68571838 Sequence: 68571839
Design Group Id 55935881 Design Group Id 55935882
Intervention Id 52789522 Intervention Id 52789523

Eligibilities

Sequence: 30942365
Gender All
Minimum Age 18 Years
Maximum Age 85 Years
Healthy Volunteers Accepts Healthy Volunteers
Criteria Inclusion Criteria: Accepting to participate in a study on a voluntary basis; Aged between 18 and 35 years old for young adults and over 60 years old up to 85 years old for elderly people; Being physically independent; Not practicing regular physical activity as recommended by the ACSM 3 to 5 times a week with moderate and severe; Cognitive status> 18 in the Mini-Mental State Examination. Exclusion Criteria: Elderly with cognitive changes detectable by the Mini Mental State Examination (MMSE); A score lower than the score predicted for their level of education; Self-reported injuries; Falls in the last year; Musculoskeletal disorders; Systemic neurological-degenerative disease; Severe labyrinthitis and chronic diseases of the cardiovascular or respiratory system.
Adult True
Child False
Older Adult True

Calculated Values

Sequence: 254282987
Number Of Facilities 1
Registered In Calendar Year 2020
Were Results Reported False
Has Us Facility False
Has Single Facility True
Minimum Age Num 18
Maximum Age Num 85
Minimum Age Unit Years
Maximum Age Unit Years
Number Of Primary Outcomes To Measure 1

Designs

Sequence: 30687975
Allocation Randomized
Intervention Model Parallel Assignment
Observational Model
Primary Purpose Treatment
Time Perspective
Masking None (Open Label)
Intervention Model Description Quasi-experimental research project to detect an immediate effect of a technique on postural balance measures.

Intervention Other Names

Sequence: 26825845 Sequence: 26825846
Intervention Id 52789522 Intervention Id 52789523
Name “MET” Name ”MET”

Responsible Parties

Sequence: 29054712
Responsible Party Type Sponsor

Study References

Sequence: 52389201 Sequence: 52389202 Sequence: 52389203 Sequence: 52389204 Sequence: 52389205 Sequence: 52389206 Sequence: 52389207 Sequence: 52389208 Sequence: 52389209 Sequence: 52389210 Sequence: 52389211 Sequence: 52389212 Sequence: 52389213 Sequence: 52389214 Sequence: 52389215 Sequence: 52389216
Pmid 9149762 Pmid 8607762 Pmid 10699556 Pmid 25231775 Pmid 8002795 Pmid 7137077 Pmid 1956274 Pmid 7715058 Pmid 20730369 Pmid 1991946
Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background Reference Type background
Citation MINATTO et al. Idade, maturação sexual, variáveis antropométricas e composição corporal: influências na flexibilidade. Rev Bras Cineantropom Desempenho Hum. 2010;12(3):151-8. Citation FRYER G, FOSSUMC. Therapeutic mechanisms underlying muscle energy approaches. In: Fernandez-de-las-Penas C, Arendt-Nielsen Lars, Gerwin R D editor(s). Tension-Type and Cervicogenic Headache: Pathophysiology, Diagnosis, and Management. Sudbury, MA: Jones and Bartlett Publishers,2010. Citation Horak FB, Henry SM, Shumway-Cook A. Postural perturbations: new insights for treatment of balance disorders. Phys Ther. 1997 May;77(5):517-33. doi: 10.1093/ptj/77.5.517. Citation CHAITOW L. Técnicas de energia muscular. São Paulo: Manole; 2001 Citation Magnusson SP, Simonsen EB, Aagaard P, Dyhre-Poulsen P, McHugh MP, Kjaer M. Mechanical and physical responses to stretching with and without preisometric contraction in human skeletal muscle. Arch Phys Med Rehabil. 1996 Apr;77(4):373-8. doi: 10.1016/s0003-9993(96)90087-8. Citation Lariviere C, Gagnon D, Loisel P. The comparison of trunk muscles EMG activation between subjects with and without chronic low back pain during flexion-extension and lateral bending tasks. J Electromyogr Kinesiol. 2000 Apr;10(2):79-91. doi: 10.1016/s1050-6411(99)00027-9. Citation Shultz S, Averell K, Eickelman A, Sanker H, Donaldson MB. Diagnostic accuracy of self-report and subjective history in the diagnosis of low back pain with non-specific lower extremity symptoms: A systematic review. Man Ther. 2015 Feb;20(1):18-27. doi: 10.1016/j.math.2014.08.002. Epub 2014 Aug 29. Citation Bertolucci PH, Brucki SM, Campacci SR, Juliano Y. [The Mini-Mental State Examination in a general population: impact of educational status]. Arq Neuropsiquiatr. 1994 Mar;52(1):1-7. Portuguese. Citation Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982 Nov;36(5):936-42. doi: 10.1093/ajcn/36.5.936. Citation Voorrips LE, Ravelli AC, Dongelmans PC, Deurenberg P, Van Staveren WA. A physical activity questionnaire for the elderly. Med Sci Sports Exerc. 1991 Aug;23(8):974-9. Citation Province MA, Hadley EC, Hornbrook MC, Lipsitz LA, Miller JP, Mulrow CD, Ory MG, Sattin RW, Tinetti ME, Wolf SL. The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. JAMA. 1995 May 3;273(17):1341-7. Citation Adaptação do Habitual Physical Activity Questionnaire (Baecke), versão modificada, para a população portuguesa. Maria Celeste Bastos Almeida; José Luís Pais Ribeiro. Citation Camargos FF, Dias RC, Dias JM, Freire MT. Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale-International Among Elderly Brazilians (FES-I-BRAZIL). Rev Bras Fisioter. 2010 May-Jun;14(3):237-43. English, Portuguese. Citation Wells KF, Dillon EK. The sit and reach: a test of back and leg flexibility. Research Quarterly for Exercise and Sport, Washington, 1952, 23:115-118. Citation Fitness Canada. Canadian Standardized Test of Fitness (CSTF) Operations Manual. 3rd Ed. Ottawa: Fitness and Amateur Sport, Canada, 1986 Citation Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.